Wellbeing Funding Application

About Your Organisation

Organisation Address

How Can We Reach You?

Your Email Address(Required)
Total staff and contractors who the funding will support.
What is your team wellbeing activity? Describe the activity in as much detail as possible and attach any relevant quotes/ invoices/ info below.
Drop files here or
Max. file size: 50 MB.
    Breakdown of Costs
    Item number
    Item description
    Add costs ex. gst, eg. 1. Meditation $200 2. Group work $400 Total $600
    What are the outcomes you are hoping to achieve for your team by running the above activities?
    Permission to contact post-event
    Thank you for confirming you can help us to evaluate the flexible funding initiative - we would love to hear how your wellbeing event has gone. We will reach out to you for feedback via a short survey or direct contact with a Healthy North Coast team member.